Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Faisal Ijaz, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1336573146

Faisal Ijaz, NURSEPRACTITIONER is a Nurse Practitioner in East Hartford, Connecticut. Qualified in 2013, 13 years ago. Practices with Urgent Care Medical Center LLC, a 51-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
13
Licensed in
CT
In the registry since
2013
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Practice location Address checks out

580 Burnside Ave
East Hartford, CT 06108-3579
Phone: (860) 528-5068
Fax: (860) 528-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 263 Farmington Avenue, Farmington, CT 06030-8082 — (860) 679-6599
  • 430 Cooley St, Springfield, MA 01128-1180 — (413) 782-0320

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5497 (CT)

Record details

NPI number1336573146
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 28, 2013
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Urgent Care Medical Center Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Hartford